HCPCS Level II H0009: Acute Detoxification, Hospital Inpatient
Commercial payers pay $241 on average nationally for this procedure.
HCPCS Level II code H0009 describes acute alcohol and/or drug detoxification services delivered in a hospital inpatient setting, indicating medically managed withdrawal care including stabilization and monitoring for patients experiencing acute substance withdrawal; the service type is acute detoxification and the typical site of service is hospital inpatient.
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National Reimbursement Benchmarks
Commercial rates for HCPCS H0009 vary notably across national payers with BUCA serving as an average-commercial reference at $240.9. Blue Cross Blue Shield shows the highest central tendency with a median of $335.3 and a wide interquartile spread, while Aetna and Cigna present lower medians near $25.9 and $44.8 respectively. UnitedHealth Group clusters tightly around a median of $45.5, and Cigna sits close by, indicating a cluster of payers in the lower mid-range relative to BUCA.
Measuring dispersion by the IQR (P75 minus P25) highlights differences in rate volatility: Blue Cross Blue Shield has the widest IQR at $275.4 (P75 $513.8 minus P25 $324.0), indicating substantial variability among its allowed amounts. Aetna’s IQR is $229.2 (P75 $254.2 minus P25 $25.0), also large, while UnitedHealth Group is the tightest with an IQR of $22.8 (P75 $55.3 minus P25 $32.5), followed by Cigna with an IQR of $22.4 (P75 $54.4 minus P25 $32.0).